Healthcare Provider Details

I. General information

NPI: 1356252522
Provider Name (Legal Business Name): MINDBRIDGE COUNSELING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 MAYLAND DR STE S
HENRICO VA
23294-4648
US

IV. Provider business mailing address

8401 MAYLAND DR STE S
HENRICO VA
23294-4648
US

V. Phone/Fax

Practice location:
  • Phone: 657-977-3097
  • Fax:
Mailing address:
  • Phone: 657-977-3097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: URSULA VERONICA WRIGHT
Title or Position: OWNER
Credential: LPC/LMHC
Phone: 657-977-3097